NPI 1023622081

Marty Kyle Ballard, FNP

Practitioner Family Nurse Practitioner Brookhaven, MS

Practice location

Address: 327 N Jackson St, Brookhaven, MS 39601-3041
Phone: (601) 833-3800
Fax: (601) 833-3847
Mailing address: 698 Lower Brookhaven Rd, Monticello, MS 39654-9627

Registered specialties

Family Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LF0000X Licence 904046 (MS)

Other Nurse Practitioner providers in Mississippi →

Registry record

NPI: 1023622081
Entity type: Individual
Sex (as registered): Male
NPI issued: 6 Sep 2020
Record last updated: 12 May 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.